TESTIMONIAL OR EXAMPLE
TIMELINE / PROCESS
HEALTH BENEFITS SUMMARY
2018-2019
Type
Network Access
Lifetime Maximum - Per Covered Person
Annual Maximum - Per Covered Person
Critical Event Benefit - Per Covered Person*
Unlimited Services
Permanent
National/Unrestricted
$5 Million
$100,000
Up to $50,000
Teladoc, GoodRX, LabCorp, Karis360
Outpatient Maximum - Per Covered Person - Per Year
$4,000
Outpatient Physician - 20 Visits - Per Covered Person - Per Year
Prescription Benefits - Per Covered Person - Per Day
Name Brand
Generic
Urgent Care Center Benefit - Per Covered Person - Per Year
Outpatient Services - Per Covered Person - Per Day
MRI, CAT Scan or Nuclear Testing
X-Rays & Other Diagnostic Tests
Labs
Injections
Preventive Care - Per Covered Person - Per Year
Colonoscopy Benefit Every 3 Years (Benefit Doubles Year 4)
Mammograms & All Other Preventive (Including Physicals)
$300
$125
VALUE
MaXX-1
MaXX-2
$2,000
$4,000
$80
$60
$80
$20
$10
$10
$5
$20
$10
$125
$100
$125
$350
$80
$40
$20
$175
$40
$20
$10
$350
$80
$40
$20
C
O
V
E
R
A
G
E
E
V
E
R
Y
D
A
Y
Emergency Department - Per Covered Person - Per Year
Facility Fees
Professional Services
$150
$150
$100
$100
$150
$150
Ground Ambulance Benefit - Per Covered Person - 2 Per Year
$500
Air Ambulance Benefit - Per Covered Person - Per Year
$1,500
Accident Benefit - Per Covered Person - Per Day
Day 1
Day 2+
Preventive Care - Per Covered Person - Per Year
Colonoscopy Benefit Every 3 Years (Benefit Doubles Year 4)
Mammograms & All Other Preventive (Including Physicals)
$1,200
$6,000
$600
$3,000
$1,200
$6,000
Emergency Department - Per Covered Person - Per Year
Facility Fees
Professional Services
$150
$150
$100
$100
$150
$150
$150
$150
$100
$100
$150
$150
WHO WE ARE
EXpected
BENEFITS
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Alternative Option for Employees with Waivers
Direct Health Insurance
Traditional Group Plans
Guaranteed Issue Health Plans
Industry leading alternative for small businesses who find traditional coverage unaffordable. Groups of 10+ enrollees are not required to answer health questions.
Underwritten small business plans. Alternative for small businesses who find traditional coverage unaffordable. Groups start at 5 or more enrollees.
NEW We now work with employers who have a current group plan in place but have employees who have waived off coverage due to cost.
Available to individuals and families 12 months/year - Alternative coverage option to an expensive traditional coverage design. Spouse & Dependent Only Coverage Available.
Seasonal Government sponsored health plans available through the marketplace. Typically very expensive, limited provider network, and high deductible.
Available in most markets
SUPPLEMENTAL INSURANCE
Prescription Coverage
Dental
Hospital Admission
Vision
- Rx Network Memberships
- Prescription Insurance
- Prescription Discount Cards
A unique “hybrid” dental insurance plan combining traditional dental insurance with network providers’ discounts
Clients receive a lump-sum benefit for the first covered day of hospital admission due to a sickness, bundled with Accident Medical Expense
Affordable co-pays for exams. Glasses or contacts every 12 months. $170 frame allowance, $150 for contacts, + discounts.
Telemedicine
Lab Services
Telemedicine services provided to clients at no cost.
Discounted rates for laboratory services available to clients.
LIFE
INSURANCE
Digital Life Platform
Life Insurance & Disability Suite
Innovative insurance solutions combined with a best - in -class experience - all while giving you the strength and stability of A rated partners. Quick approval process and 100% digital experience providing you convenience and security.
- Return of Premium 10-30 Year Term Life
- Money Purchase Individual Term Life
- Specialty Life
- Long-Term Disability
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